Evidence map›Paper›PMID 28904521›Full record

Trial reportJSLS : Journal of the Society of Laparoendoscopic Surgeons

Mesh Displacement After Bilateral Inguinal Hernia Repair With No Fixation.

Christiano Marlo Paggi Claus, Gabriela Moreira Rocha, Antonio Carlos Ligocki Campos, João Augusto Nocera Paulin, Julio Cesar Uili Coelho

3 registry-linked trialsOpen access · hybridAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06070142 nacompletednot on this map

Prospective Randomized Study of Comparison Mesh Displacement in Laparoscopic İnguinal Hernia Repair With No Fixation: eTEP Versus TEP

TypeinterventionalSponsorMehmet Eşref UlutaşRan2022 to 2024Enrolled60ConditionsMigration of Implant, Pain, Postoperative Complications, RelapseArmsTEP Group, eTEP Group
NCT06070207 nacompletednot on this map

Prospective Randomized Study of Comparison Mesh Displacement in Bilateral Laparoscopic İnguinal Hernia Repair With No Fixation: eTEP Versus TEP

TypeinterventionalSponsorMehmet Eşref UlutaşRan2023 to 2024Enrolled40ConditionsMigration of Implant, Pain, Postoperative Complications, RelapseArmsTEP group, eTEP group
NCT06417359 naunknown statusnot on this map

Comparison of Mesh Fixation and Non-Fixation in Laparoscopic eTEP Inguinal Hernia Repair

TypeinterventionalSponsorMehmet Eşref UlutaşRan2023 to 2024Enrolled60ConditionsMigration of Implant, Pain, Postoperative Complications, RelapseArmsMesh Fixation, No Mesh Fixation
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Totally extraperitoneal inguinal hernia repair with or without fixation leads to similar results. Outcome of randomized prospective trial.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020
    Article
  6. Fixation techniques in inguinal hernia repair, what is really new?Hernia : the journal of hernias and abdominal wall surgery · 2020
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Christiano Marlo Paggi ClausMinimally Invasive Surgery Department, Jacques Perissat Institute/Positivo University, Curitiba, Brazil.
Gabriela Moreira RochaRadiology Department, Hospital Nossa Senhora das Graças, Curitiba, Brazil.
Antonio Carlos Ligocki CamposDepartment of Surgery, Universidade Federal do Paraná, Curitiba, Brazil.
João Augusto Nocera PaulinDepartment of Surgery, Hospital Nossa Senhora das Graças, Curitiba, Brazil.
Julio Cesar Uili CoelhoDepartment of Surgery, Universidade Federal do Paraná, Curitiba, Brazil.
Universidade Federal do Paraná · BRHospital Nossa Senhora das Graças · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesAbout 20% of patients with inguinal hernia present bilateral hernias in the diagnosis. In these cases, laparoscopic procedure is considered gold standard approach. Mesh fixation is considered important step toward avoiding recurrence. However, because of cost and risk of pain, real need for mesh fixation has been debated. For bilateral inguinal hernias, there are few specific data about non fixation and mesh displacement. We assessed mesh movement in patients who had undergone laparoscopic bilateral inguinal hernia repair without mesh fixation and compared the results with those obtained in patients with unilateral hernia.

methodsFrom January 2012 through May 2014, 20 consecutive patients with bilateral inguinal hernia underwent TEP repair with no mesh fixation. Results were compared with 50 consecutive patients with unilateral inguinal hernia surgically repaired with similar technique. Mesh was marked with 3 clips. Mesh movements were measured by comparing initial radiography performed at the end of surgery, with a second radiographic scan performed 30 days later.

resultsMean movements of all 3 clips in bilateral nonfixation (NF) group were 0.15-0.4 cm compared with 0.1-0.3 cm in unilateral NF group. Overall displacement of bilateral and unilateral NF groups did not show significant difference. Mean overall displacement was 1.9 cm versus 1.8 cm in the bilateral and unilateral NF groups, respectively (

conclusionsTEP with no mesh fixation is safe in bilateral inguinal repairs. Early mesh displacement is minimal. This technique can be safely used in most patients with inguinal hernia.

Indexed as

LaparoscopySurgical MeshAdultAgedCase-Control StudiesFemaleFollow-Up StudiesForeign-Body MigrationHernia, InguinalHerniorrhaphyHumansMaleMiddle AgedProspective StudiesTreatment OutcomeBilateral inguinal herniaInguinal herniaLaparoscopyMesh fixationTotal extraperitoneal

Identifiers

PMID28904521
PMCPMC5592431
OpenAlexW2754640938

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.